Individual provider Active NPI

Mitchell R Weinstein, M.D.

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1447270475
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036124563 Issued in IL
Practice address
2900 N Lakeshore Dr
12TH Floor
Chicago, IL 60657
Phone
(773) 665-3261
Fax
(773) 665-9435
NPI assigned
Jul 20, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036124563 IL Primary

Addresses

Primary practice location

2900 N Lakeshore Dr
12TH Floor
Chicago, IL 60657

Mailing address

2900 N Lakeshore Dr
12TH Floor
Chicago, IL 60657
Phone (773) 665-3261

Other identifiers 1

IdentifierTypeStateIssuer
1447270475MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100205000638 IL Practitioner - Infectious Disease 5799716932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeshore Infectious Disease Associates LTD.Group PAC ID 5395659395, 4 clinicians

Practice addresses (Care Compare)

2900 N Lake Shore Dr
Suite 1231
Chicago, IL 60657-5640
Phone (773) 665-3261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeshore Infectious Disease Associates LTD. Infectious Disease CurrentSince Nov 11, 2009 Accepting new patients
Infectious Disease Center, P.C. Infectious Disease Past Accepting new patients

Locations

2900 N Lake Shore Dr
#1231
Chicago, IL 60657
Phone (773) 665-3261

2900 N Lake Shore Dr
Fl 12
Chicago, IL 60657
Phone (773) 665-3260

2900 N Lakeshore
Ste 1231
Chicago, IL 60657
Phone (773) 665-3261

1730 Park St
Ste 101
Naperville, IL 60563
Phone (630) 718-0200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1447270475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N LAKESHORE DR",
            "address_2": "12TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-665-3261",
            "fax_number": "773-665-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKESHORE DR",
            "address_2": "12TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60657",
            "telephone_number": "773-665-3261",
            "fax_number": "773-665-9435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSTEIN",
        "first_name": "MITCHELL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036124563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447270475",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.